Food business food safety inspections scoring, rating and disclosure systems— engaging consumers in foodborne disease control: A systematic review and research agenda for low- and middle-income countries

Key messages

• Food inspection is not effective in low- and middle-income countries and innovative approaches are needed to motivate greater compliance with standards.
• ‘Scores on doors’ could motivate greater compliance through the power of public demand and opinion.
• This systematic literature review found no studies investigating food inspection programs in low- and middle-income countries.
• While studies from high-income countries show wide variation of hygiene factors considered; their weight, and scoring; and requirement for disclosure.
• More evidence is needed on optimizing ‘scores on doors’ in high-income countries and application to low- and middle-income countries.